MARY ANN TIEDEMANN - Dentist License in Illinois | # 020004457

MARY ANN TIEDEMANN

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004457

License Status

INACTIVE

Business

N

First Name

MARY ANN

Last Name

TIEDEMANN

Business Name

MARY ANN TIEDEMANN

Original Issue Date

06/15/1981

Effective Date

10/01/2006

Expiration Date

09/30/2009

State

IL

Ever Disciplined

N

LastModifiedDate

09/02/2009